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Contact Information

ANAZIA MEDICAL II, INC.
1264 MAIN STREET
SUITE A
FAYETTE, MS39069
 Phone: 601-786-0390
 Fax: 601-786-0730
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ANAZIA MEDICAL II INC · (Female)

NPI # 1174627459
Status Active
Credentials
Entity Individual
Enumeration date 09/08/2006
Last updated 10/29/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # 14997
  • MS Medicaid 07753329
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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